{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,3,30]],"date-time":"2022-03-30T00:41:51Z","timestamp":1648600911576},"reference-count":29,"publisher":"FapUNIFESP (SciELO)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Col. Bras. Cir."],"published-print":{"date-parts":[[2011,2]]},"abstract":"<jats:p>OBJETIVO: Avaliar a morbidade e a mortalidade no tratamento cir\u00fargico da hipertens\u00e3o portal esquistossom\u00f3tica em pacientes portadores de invers\u00e3o do di\u00e2metro entre a veia porta e veia espl\u00eanica. M\u00c9TODOS: Estudo transversal retrospectivo, de pacientes submetidos ao tratamento cir\u00fargico da hipertens\u00e3o no per\u00edodo entre setembro de 1993 e Janeiro de 2004. A popula\u00e7\u00e3o do estudo foi distribu\u00edda em dois grupos: a) Invers\u00e3o - calibre da veia espl\u00eanica maior ou igual ao da veia porta) e b) grupo controle (calibre da veia porta maior que o da veia espl\u00eanica). Na an\u00e1lise estat\u00edstica foram utilizados o teste t de student para diferen\u00e7a de m\u00e9dias, quiquadrado para diferen\u00e7a de propor\u00e7\u00f5es e o exato de Fisher para amostras reduzidas. RESULTADOS: 169 pacientes foram analisados com seguimento p\u00f3s-operat\u00f3rio m\u00e9dio de 23,6 meses. 21 pacientes (12,4%) apresentavam a veia espl\u00eanica de igual ou maior calibre que a veia porta (Invers\u00e3o - grupo de estudo). A m\u00e9dia dos di\u00e2metros pr\u00e9-operat\u00f3rios das veias porta e espl\u00eanica foram, respectivamente, 1,49\/1,14cm no grupo controle, e 0,98\/1,07cm no grupo de invers\u00e3o. O di\u00e2metro da veia porta foi significativamente maior no grupo controle quando comparado ao grupo de invers\u00e3o (p&lt;0,05). A presen\u00e7a de varizes de fundo g\u00e1strico foi identificada em 33,3% do grupo de invers\u00e3o e em 38,5% dos pacientes do grupo controle. Recidiva hemorr\u00e1gica p\u00f3s-operat\u00f3ria ocorreu em 23,1% dos pacientes do grupo de invers\u00e3o e em 13,4% no grupo controle (p&gt;0,05). Na avalia\u00e7\u00e3o p\u00f3s-operat\u00f3ria com ultrassonografia Doppler de vasos portais, n\u00e3o houve casos de trombose portal no grupo de invers\u00e3o, e no grupo controle a trombose portal foi identificada em 16,9% dos pacientes (p&lt;0,05). O \u00f3bito ocorreu em um (4,8%) paciente do grupo invers\u00e3o, e a mortalidade foi de 4,1% no grupo controle (p&gt;0,05). A m\u00e9dia do n\u00edvel s\u00e9rico de plaquetas foi significativamente menor (65.950\\mm\u25a1) no grupo de invers\u00e3o do que no grupo controle (106.647\\mm\u25a1) (p&lt;0,05). CONCLUS\u00c3O: Os resultados sugerem que a invers\u00e3o do calibre veia porta\\espl\u00eanica n\u00e3o representa uma contraindica\u00e7\u00e3o ao tratamento cir\u00fargico da hipertens\u00e3o portal esquistossom\u00f3tica.<\/jats:p>","DOI":"10.1590\/s0100-69912011000100007","type":"journal-article","created":{"date-parts":[[2011,4,29]],"date-time":"2011-04-29T05:16:09Z","timestamp":1304054169000},"page":"35-40","source":"Crossref","is-referenced-by-count":0,"title":["Influ\u00eancia da invers\u00e3o do di\u00e2metro veia porta\/veia espl\u00eanica nos resultados do tratamento cir\u00fargico da hipertens\u00e3o portal esquistossom\u00f3tica"],"prefix":"10.1590","volume":"38","author":[{"given":"\u00c1lvaro Ant\u00f4nio Bandeira","family":"Ferraz","sequence":"first","affiliation":[{"name":"UFPE,  BR"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Josemberg Marins","family":"Campos","sequence":"additional","affiliation":[{"name":"Universidade Federal de Pernambuco,  BR"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 Guido Corr\u00eaa de","family":"Ara\u00fajo J\u00fanior","sequence":"additional","affiliation":[{"name":"Universidade Federal de Pernambuco,  BR"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M\u00e1rcio Rog\u00e9rio Carneiro de","family":"Carvalho","sequence":"additional","affiliation":[{"name":"Universidade Federal de Pernambuco,  BR"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jo\u00e3o Paulo","family":"Ribeiro Neto","sequence":"additional","affiliation":[{"name":"Universidade Federal de Pernambuco,  BR"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edmundo Machado","family":"Ferraz","sequence":"additional","affiliation":[{"name":"Universidade Federal de Pernambuco,  BR"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","reference":[{"issue":"5","key":"ref1","doi-asserted-by":"crossref","first-page":"332","DOI":"10.1590\/S0100-69912000000500009","article-title":"Tratamento cir\u00fargico da hipertens\u00e3o portal esquistossom\u00f3tica no HC-UFPE: an\u00e1lise de 131 casos","volume":"27","author":"Ferraz AAB","year":"2000","journal-title":"Rev Col Bras Cir","ISSN":"http:\/\/id.crossref.org\/issn\/0100-6991","issn-type":"print"},{"issue":"3","key":"ref2","first-page":"75","article-title":"Infec\u00e7\u00e3o de ferida p\u00f3s-esplenectomia em pacientes com ou sem esquistossomose hepatoespl\u00eanica","volume":"18","author":"Ferraz EM","year":"1991","journal-title":"Rev Col Bras Cir","ISSN":"http:\/\/id.crossref.org\/issn\/0100-6991","issn-type":"print"},{"issue":"2","key":"ref3","first-page":"84","article-title":"Splenectomy plus left gastric vein ligature and devascularization of the great curvature of the stomach in the treatment of hepatosplenic schistosomiasis: Postoperative endoscopic sclerosis is necessary?","volume":"38","author":"Ferraz AA","year":"2001","journal-title":"Arq Gastroenterol","ISSN":"http:\/\/id.crossref.org\/issn\/0004-2803","issn-type":"print"},{"issue":"4","key":"ref4","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1159\/000050157","article-title":"Effects of propranolol on human postoperative ileus","volume":"18","author":"Ferraz AA","year":"2001","journal-title":"Dig Surg","ISSN":"http:\/\/id.crossref.org\/issn\/0253-4886","issn-type":"print"},{"issue":"11","key":"ref5","doi-asserted-by":"crossref","first-page":"2682","DOI":"10.1007\/s00268-010-0717-8","article-title":"Long-term results of esophagogastric devascularization and splenectomy associated with endoscopic treatment in schistosomal portal hypertension","volume":"34","author":"Makdissi FF","year":"2010","journal-title":"World J Surg","ISSN":"http:\/\/id.crossref.org\/issn\/0364-2313","issn-type":"print"},{"issue":"1","key":"ref6","first-page":"50","article-title":"Portal vein thrombosis after esophagogastric devascularization and splenectomy in schistosomal portal hypertension patients: what's the real importance?","volume":"46","author":"Makdissi FF","year":"2009","journal-title":"Arq Gastroenterol","ISSN":"http:\/\/id.crossref.org\/issn\/0004-2803","issn-type":"print"},{"issue":"41","key":"ref7","doi-asserted-by":"crossref","first-page":"5471","DOI":"10.3748\/wjg.v13.i41.5471","article-title":"Pre- and postoperative systemic hemodynamic evaluation in patients subjected to esophagogastric devascularization plus splenectomy and distal splenorenal shunt: a comparative study in schistomomal portal hypertension","volume":"13","author":"de Cleva R","year":"2007","journal-title":"World J Gastroenterol"},{"issue":"4","key":"ref8","first-page":"432","article-title":"Occurrence of hepatopulmonary syndrome in patients with cirrhosis who are candidates for liver transplantation","volume":"36","author":"Mac\u00eado LG","year":"2010","journal-title":"J Bras Pneumol"},{"issue":"65","key":"ref9","first-page":"1529","article-title":"Postoperative portal vein thrombosis in patients with hepatosplenic mansonic schistosomiasis: relationship with intraoperative portal pressure and flow. A prospective study","volume":"52","author":"de Cleva R","year":"2005","journal-title":"Hepatogastroenterology","ISSN":"http:\/\/id.crossref.org\/issn\/0172-6390","issn-type":"print"},{"issue":"1","key":"ref10","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1590\/S0041-87812004000100003","article-title":"Portal hyperflow in patients with hepatosplenic mansonic schistosomiasis","volume":"59","author":"Cleva R","year":"2004","journal-title":"Rev Hosp Clin Fac Med Sao Paulo","ISSN":"http:\/\/id.crossref.org\/issn\/0041-8781","issn-type":"print"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"807","DOI":"10.1016\/0002-9343(59)90196-2","article-title":"Portal venous pressure in \"pipestem\" fibrosis of the liver due to schistosomiasis","volume":"27","author":"Aufses AH Jr","year":"1959","journal-title":"Am J 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JC","year":"2003","journal-title":"Rev Assoc Med Bras","ISSN":"http:\/\/id.crossref.org\/issn\/0004-5241","issn-type":"print"},{"issue":"3","key":"ref15","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1016\/j.actatropica.2007.01.004","article-title":"Evaluation of splenomegaly in the hepatosplenic form of mansonic schistosomiasis","volume":"101","author":"Maia MD","year":"2007","journal-title":"Acta Trop","ISSN":"http:\/\/id.crossref.org\/issn\/0001-706X","issn-type":"print"},{"issue":"2","key":"ref16","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1089\/sur.2005.6.197","article-title":"Gut bacterial translocation and postoperative infections: a prospective study in schistosomotic patients","volume":"6","author":"Ferraz AA","year":"2005","journal-title":"Surg Infect (Larchmt)"},{"issue":"1","key":"ref17","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1590\/S0004-28032003000100002","article-title":"The influence of periportal (pipestem) fibrosis on long term results of surgical treatment for schistosomotic portal hypertension","volume":"40","author":"Ferraz AA","year":"2003","journal-title":"Arq Gastroenterol","ISSN":"http:\/\/id.crossref.org\/issn\/0004-2803","issn-type":"print"},{"issue":"1","key":"ref18","first-page":"1","article-title":"Surgical treatment of schistosomal portal hypertension","volume":"86","author":"Ferraz AA","year":"2001","journal-title":"Int Surg","ISSN":"http:\/\/id.crossref.org\/issn\/0020-8868","issn-type":"print"},{"issue":"3","key":"ref19","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1016\/j.ijsu.2005.12.006","article-title":"Late follow-up of patients submitted to subtotal splenectomy","volume":"4","author":"Petroianu A","year":"2006","journal-title":"Int J Surg"},{"issue":"1","key":"ref20","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1590\/S0100-69912003000100005","article-title":"Varizes de fundo g\u00e1strico na hipertens\u00e3o portal esquistossom\u00f3tica: resultados cir\u00fargicos","volume":"30","author":"Ferraz AAB","year":"2003","journal-title":"Rev Col Bras Cir","ISSN":"http:\/\/id.crossref.org\/issn\/0100-6991","issn-type":"print"},{"issue":"10","key":"ref21","doi-asserted-by":"crossref","first-page":"2136","DOI":"10.1007\/s00268-009-0196-y","article-title":"Doppler ultrasound could predict varices progression and rebleeding after portal hypertension surgery: lessons from 146 EGDS and 10 years of follow-up","volume":"33","author":"Ferreira FG","year":"2009","journal-title":"World J Surg","ISSN":"http:\/\/id.crossref.org\/issn\/0364-2313","issn-type":"print"},{"issue":"6","key":"ref22","first-page":"314","article-title":"Portal flow and hepatic function after splenectomy and esophagogastric devascularization","volume":"93","author":"Carvalho DL","year":"2008","journal-title":"Int Surg","ISSN":"http:\/\/id.crossref.org\/issn\/0020-8868","issn-type":"print"},{"key":"ref23","series-title":"Anatomia patol\u00f3gica das afec\u00e7\u00f5es hep\u00e1ticas","first-page":"59","author":"Coelho RB","year":"1971"},{"key":"ref24","series-title":"Esquistossomose Mans\u00f4nica","first-page":"235","volume-title":"Tratamento cir\u00fargico da hipertens\u00e3o portal esquistossom\u00f3tica","author":"Ferraz EM","year":"1994"},{"key":"ref25","series-title":"Hepatologia cl\u00ednica e cir\u00fargica","first-page":"671","volume-title":"An\u00e1lise cr\u00edtica da cirurgia de hipertens\u00e3o portal esquistossom\u00f3tica","author":"Abrantes WL","year":"1986"},{"key":"ref26","series-title":"Avalia\u00e7\u00e3o da esplenectomia e ligadura intra-esosafiana das varizes do es\u00f4fago na esquistossomose mans\u00f4nica [tese para professor catedr\u00e1tico]","author":"Kelner S","year":"1965"},{"key":"ref27","series-title":"Efeito da esplenectomia sobre o horm\u00f4nio de crescimento em pacientes portadores de esquistossomose hepatoespl\u00eanica e hipodesenvolvimento som\u00e1tico [disserta\u00e7\u00e3o]","author":"Silveira GK","year":"1976"},{"key":"ref28","series-title":"Ultra-sonografia na esquistossomose mans\u00f4nica hepato-espl\u00eanica: avalia\u00e7\u00e3o da intensidade da fibrose periportal e da hipertens\u00e3o porta [tese]","author":"Domingues ALC","year":"1998"},{"issue":"9","key":"ref29","first-page":"140","article-title":"Ligadura de varizes es\u00f4fago-g\u00e1stricas na hipertens\u00e3o porta esquistossom\u00f3tica: evolu\u00e7\u00e3o de 25 anos","author":"Kelner S","year":"1982","journal-title":"Rev Col Bras Cir","ISSN":"http:\/\/id.crossref.org\/issn\/0100-6991","issn-type":"print"}],"container-title":["Revista do Col\u00e9gio Brasileiro de 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